Miranda Alcides Silva de, Melo Diego Azevedo
Escola de Enfermagem, Universidade Federal do Rio Grande do Sul. R. São Manoel 963, Rio Branco. 90620-110 Porto Alegre RS Brasil.
Cien Saude Colet. 2016 Sep;21(9):2837-48. doi: 10.1590/1413-81232015219.18522016.
The Mais Médicos (More Doctors) Program has led to an increase in the number of doctors and medical treatment in primary health care services across Brazil. This article presents the results of a case-control study of groups of municipalities based on secondary data sources. It aims to explore and discuss a set of indicators of primary health care service delivery. An improvement in performance against structural indicators was observed in municipalities where the program was implemented. With respect to the outcome indicators, a slight improvement in service delivery was observed in municipalities where the program was implemented. However, no difference was observed in impacts between the case and control municipalities. These results may have been influenced by the fact that the program has only been underway for a limited time, by underreporting of doctors by the National Health Facilities Register (CNES, acronym in Portuguese), and the predominantly substitutive nature of the allocation of medical professionals under the program in the selected municipalities.
“更多医生”计划增加了巴西各地初级卫生保健服务中医生的数量和医疗服务。本文基于二手数据源,展示了一项针对市组的病例对照研究结果。其目的是探索和讨论一组初级卫生保健服务提供指标。在实施该计划的市,结构指标方面的绩效有所改善。关于结果指标,在实施该计划的市,服务提供略有改善。然而,病例市和对照市之间在影响方面未观察到差异。这些结果可能受到以下因素影响:该计划实施时间有限、国家卫生设施登记册(葡萄牙语首字母缩写为CNES)对医生的报告不足,以及该计划在选定市分配医疗专业人员的主要替代性质。
Cien Saude Colet. 2016-9
Rev Saude Publica. 2019-12-9